Patient rights charter in Iran
1-The optimal reception of health services is the patient’s right.
The provision of health services should:
- It is worthy of human dignity and with respect for values, cultural and religious beliefs;
- On the basis of honesty, fairness, politeness and kindness;
- Free from any discrimination, including ethnic, cultural, religious, gender or gender;
- Based on knowledge of the day;
- Based on the superiority of patient benefits;
- On the distribution of health resources based on equity and patient care priorities;
- It is based on the coordination of care units, such as prevention, diagnosis, treatment and rehabilitation;
- Along with the provision of all essential and essential welfare facilities, away from the imposition of unnecessary pain and suffering;
- Pay special attention to the rights of vulnerable groups of society, including children, pregnant women, the elderly, mental patients, mental and physical disabilities;
- At the earliest possible time and with respect to the time of the patient;
- Considering variables such as language, age and sex of recipients of service;
- In urgent care (emergency), regardless of the cost of doing so. In non-urgent cases, it is defined according to the criteria;
- In urgent care (emergency), if the provision of appropriate services is not possible, after the provision of essential services and necessary explanations, it is necessary to provide the field for the transfer of the patient to the equipped unit;
- The information should be provided to the patient in an appropriate and sufficient manner.
2-1) The content of the information should include:
2-1-1) The provisions of the charter of patient rights at the time of admission;
2-1-2) Predictive criteria and costs of the hospital, including health and non-medical services and insurance policies, and introduction of supportive systems at the time of admission;
2-1-3) The name of the responsible and professional team members of the medical group responsible for providing care, including doctor, nurse and student, and their professional relationship with each other;
2-1-4) Diagnostic and therapeutic methods and weaknesses of each method and its possible complications, diagnosis of the disease, prognosis and its complications, as well as all the information affecting the decision-making process of the patient;
2-1-5) How to access the physician and the main members of the medical team during treatment;
2-1-6) All actions of a research nature;
2-1-7) Provide essential training for continuing treatment;
2-2) How to provide information should be as follows:
2-2-1)The information should be provided to him at the appropriate time and in accordance with the patient’s conditions, including anxiety and pain and his personal characteristics, including language, education, and ability to understand, unless:
2-2-2) The delay in treatment because of the above information causes the patient to be injured (in this case, the transfer of information after the necessary action should be done in the right time).
3)The patient can access all the information contained in his clinical file and receive the image and request correction of the errors contained therein.
3-1) The range of choices and decisions is as follows:
3-1-1) Choosing health care provider and the framework of the criteria;
3-1-2) Choosing and consulting from a second doctor as an advisor;
3-1-3) The company does not participate in any research, believing that its decision will not affect the continuity and mode of receiving health services;
3-1-4) Accepting or rejecting proposed treatments after knowing the possible complications of admission or rejection, except in the case of suicide or those that discourage another person from treating another person at serious risk;
3-1-5) The patient’s prior opinion about future therapeutic measures is recorded when the patient has the decision making capacity and as a guide to medical practice when there is a lack of decision making capacity in accordance with the legal requirements of the healthcare provider and the alternative patient decision maker.
3-2) The selection and decision making conditions include:
3-2-1) Selection and decision making The patient should be free and informed on the basis of obtaining adequate and comprehensive information (second alternative);
3-2-2) After providing information, give sufficient time for decision making and selection;
4-The provision of health services should be based on respect for the patient’s privacy (right to privacy) and respect for the principle of secrecy.
4-1) Observance of the principle of secrecy with regard to all information relating to a patient’s obligation, which the law has excluded;
4-2) In all stages of care, both diagnosis and treatment, the patient’s privacy must be respected. It is necessary to provide all necessary facilities for guaranteeing the privacy of the patient;
4-3) Only the patient and the therapist and the authorized persons for the patient and the persons considered to be permitted by law can access the information;
4-4) The patient is entitled to have his or her trusted person undergoing diagnostic examination, including examination.
Accompaniment is one of the child’s parents in all stages of the treatment of the child, unless this is contrary to medical necessities.
5-Access to an effective system for dealing with patient complaints.
5-1) Every patient has the right to complain to competent authorities in case of claiming violations of his or her rights, this complaint is a violation of quality of health care services;
5-2) Patients have the right to be informed about the outcome of their complaint;
5-3) The damage caused by the failure of the health service provider must be remedied in the shortest possible time after consideration and proof of compliance.
In the case of the provisions of this charter, if the patient is, for any reason, lacking decision-making capacity, the exercise of all rights of the patient referred to in this charter shall be replaced by a decision maker. However, if the alternative decision maker, in contrast to the doctor’s opinion, prevents the patient from being treated, the doctor can apply for a review decision through the relevant authorities.
If a disease that does not have sufficient capacity to make decisions, but it can decide on a reasonable proportion of treatment, its decision must be respected.